NUR 236 PrepU Chapter 37: Nursing
Care of the Child with an Infectious or
Communicable Disorder
A young girl arrives at the emergency room after being bitten by a neighbor's dog. The mother is
concerned her daughter will get rabies. The nurse carefully examines and treats the bite and questions
the mother and daughter about the details surrounding the dog biting her. What information would
most strongly indicate a risk for rabies infection in this client? - correct answer ✔✔The dog was
unprovoked when he bit the girl
A nursing instructor is teaching the students about the standard and transmission-based precautions.
What type of precautions require placing a client in an isolated room with limited access, wearing gloves
during contact with the client and all body fluids or contaminated items, wearing two layers of protective
clothing, and avoiding sharing equipment between clients? - correct answer ✔✔Contact precautions
A nurse is preparing a presentation for parents about common childhood infectious diseases. What
conditions would the nurse include as being caused by a tick bite? Select all that apply. - correct answer
✔✔Lyme disease
Rocky Mountain spotted fever
The nurse is caring for a child whose family recently emigrated from a developing country. While
completing the admission history, the parents report all the child's immunizations are up to date. Which
nursing action is most appropriate? - correct answer ✔✔Ask parents which immunizations have been
given.
A child in the clinic has a fever and reports a sore neck. Upon assessment the nurse finds a swollen
parotid gland. The nurse suspects which infectious disease? - correct answer ✔✔Mumps
The nurse is providing education to the parents of a 5-year-old with a fever. Which statements indicate
the need for further instruction? Select all that apply. - correct answer ✔✔"I can administer two baby
aspirin tablets to my child every 4 to 6 hours for the fever."
"Sponging my child with cold water can be a soothing way to manage the fever."
, "I should use a cooling fan in my child's room to keep the fever down."
A child is diagnosed with scarlet fever. History reveals that the child has no known drug allergies. When
preparing the child's plan of care, the nurse would anticipate administering which agent as the drug of
choice? - correct answer ✔✔penicillin V
The nurse is assessing a child who presents with a history of fever, malaise, fatigue, and headache. The
nurse notes a bulls-eye rash on the child's right leg. Which action will the nurse take? - correct answer
✔✔Notify the primary health care provider.
The physician has ordered ibuprofen 150 mg every 6 hours as needed for a 3-year-old child for a fever
greater than 38°C (100.4°F). The label of the ibuprofen bottle reads "ibuprofen oral suspension 100 mg/5
ml." How much ibuprofen liquid will the nurse administer if the child's temperature goes above 38°C
(100.4°F)? Record your answer using one decimal place. - correct answer ✔✔7.5
The mother of a 10-year-old child diagnosed with rubella asks what can be done to help her child feel
better during her illness. What information can be provided? - correct answer ✔✔Encourage rest and
relaxation.
A child has been diagnosed with hookworm. The nurse is teaching the parent about the treatment for
the condition. Which statement made by the parent confirms that further education is needed? - correct
answer ✔✔"My child can play outside bare footed when treatment is done."
A nurse practitioner suspects that a child has scarlet fever based on which assessment finding? - correct
answer ✔✔Red, strawberry tongue
When providing care for a child with herpes zoster (shingles), the parents ask the nurse how the child
contracted this infectious disorder. Which response by the nurse is most appropriate? - correct answer
✔✔"Herpes zoster is a reactivation of a previous varicella zoster infection."
A young client arrives at the clinic with a rash on the trunk and flexor surfaces of the extremities. The
parent informs the nurse that the rash started a day before on the exterior surfaces of the extremities; 2
days before, the child had a really bad rash on the face. The health care provider diagnoses the child with
erythema infectiosum. The nurse tells the parent that this is also known as: - correct answer ✔✔fifth
disease.
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